SUSAN DIANE GUASTELLA - Registered Nurse License in Indiana | # 041202531

SUSAN DIANE GUASTELLA

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041202531

License Status

NOT RENEWED

Business

N

First Name

SUSAN DIANE

Last Name

GUASTELLA

Business Name

SUSAN DIANE GUASTELLA

Original Issue Date

05/19/1981

Effective Date

04/30/2012

Expiration Date

05/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

08/14/2014